THE COMPETENCY OF CHILDREN AND ADOLESCENTS TO MAKE INFORMED TREATMENT DECISIONS
THE COMPETENCY OF CHILDREN AND ADOLESCENTS TO MAKE INFORMED TREATMENT DECISIONS
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DOI：
10.1111/j.1467-8624.1982.tb03482.x
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发表时间：
1982-01-01
影响因子：
4.6
通讯作者：
CAMPBELL, SB
中科院分区：
文献类型：
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作者：
WEITHORN, LA;CAMPBELL, SB
研究了在做出知情治疗决定的能力上的发展差异。96名受试者，24名(男12名，女12名)，年龄分别为9岁、14岁、18岁和21岁，按照4个法定标准进行能力评估。该措施包括4个假想的治疗困境和一个结构化的面谈方案。总体而言，14岁的儿童与成年人没有什么不同；9岁的儿童在推理和理解困境中提供的治疗信息的能力方面似乎不如成年人。在表达合理的治疗偏好方面，他们与年龄较大的受试者没有区别。调查结果不支持以无行为能力推定为由，剥夺保健情况下青少年的自决权。年仅9岁的儿童似乎能够有意义地参与个人保健决策。
Developmental differences in competency to make informed treatment decisions were studied. Ninety-six subjects, 24 (12 males and 12 females) at each of 4 age levels (9, 14, 18, and 21), were administered a measure developed to assess competency according to 4 legal standards. The measure included 4 hypothetical treatment dilemmas and a structured interview protocol. Overall 14-yr-olds did not differ from adults; 9-yr-olds appeared less competent than adults with respect to their ability to reason about and understand the treatment information provided in the dilemmas. They did not differ from older subjects in their expression of reasonable preferences regarding treatment. The findings did not support the denial of the right of self-determination to adolescents in health-care situations on the basis of a presumption of incapacity. Children as young as 9 appear able to participate meaningfully in personal health-care decision making.